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A person states to the nurse, “The guidelines for what we should eat as Americans is constantly changing, just when I got used to using MyPyramid they changed it to MyPlate. I wonder what will be next and if they really know what they are doing with all of this change.” Which of the following would be the best response from the nurse?
- A. “The USDA is constantly making changes in order to decrease the alarming rates of obesity in our country.”
- B. “MyPyramid was developed in 2005, so it was time for this graphic to be revised.”
- C. “The creation of MyPlate has decreased the need for additional teaching resources for nutrition.”
- D. “MyPlate serves as a better visual aid, reminding Americans what a healthy ‘plate’ looks like.”
Correct Answer: D
Rationale: MyPlate was introduced as a clearer visual representation of what a healthy plate looks like, simplifying nutrition education.
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A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger’s syndrome. Which of the following findings is the nurse most likely to discover?
- A. Eating finger foods at 10 months old
- B. Absent crawling at 10 months old
- C. Separation anxiety at 10 months old
- D. Saying “ma-ma” at 10 months old
Correct Answer: B
Rationale: Children with Asperger’s syndrome may show early signs of developmental delays such as absent or brief crawling phases.
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman’s concern?
- A. “Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately.”
- B. “Frequent heartburn is caused by high levels of hormones during pregnancy.”
- C. “Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy.”
- D. “Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist.”
Correct Answer: C
Rationale: Heartburn during pregnancy is due to gastrointestinal changes, including upward displacement of the stomach and relaxation of the gastroesophageal sphincter.
A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education?
- A. “I drink skim milk on a regular basis.”
- B. “I try not to eat foods that have added salt on the label.”
- C. “I eat American cheese about once every 2 weeks.”
- D. “I add salt to many of the food that I eat to enhance the flavor.”
Correct Answer: D
Rationale: Sodium intake should be limited for heart disease patients.
Community Concern About Natural Disasters
- A. Fires and suicides
- B. Wildfires and hurricanes
- C. Traffic accidents and floods
- D. Tornadoes and food poisoning
Correct Answer: B
Rationale: Wildfires and hurricanes are significant natural disasters that have large-scale impacts.
A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse?
- A. Blood pressure readings of 124/82 were obtained two days in a row by two different nurses.
- B. Three consecutive blood pressure readings of 124/82 were obtained by the same nurse.
- C. Blood pressure readings of 124/82 in the right arm and 124/82 in the left arm were obtained.
- D. A blood pressure reading of 124/82 was obtained immediately followed by another blood pressure reading of 147/92.
Correct Answer: A
Rationale: Interobserver reliability measures the consistency of test results when performed by different observers under similar conditions.